Patient Education and Counseling最新文献

{"title":"The association between episodic listening and the burden of primary informal caregivers of cancer patients – An explorative cross-sectional study","authors":"Hadas Sapir ,&nbsp;Gillie Gabay ,&nbsp;Sigal Shafran-Tikva ,&nbsp;Rivka Binyamin Zax ,&nbsp;Sivan Yais Friedlander ,&nbsp;Liza Monas ,&nbsp;Malka Dadon ,&nbsp;Tamar Kalman ,&nbsp;Ornit Chawa ,&nbsp;Wiessam Abu Ahmad ,&nbsp;Rely Alon ,&nbsp;Julie Benbenishty ,&nbsp;Revital Zelker","doi":"10.1016/j.pec.2025.109431","DOIUrl":"10.1016/j.pec.2025.109431","url":null,"abstract":"<div><h3>Purpose</h3><div>The growing prevalence of cancer and of the responsibilities of primary informal caregivers calls for exploring the burden of caregivers. Communication with providers has become a major responsibility of caregivers increasing their burden. Despite the harmful consequences of caregiver burden (CB), little is known regarding mitigators of CB. The perceived high quality of communication with providers may be a mitigator of CB which is yet to be tested. Therefore, this study tests the association of episodic listening behaviors of providers and CB among caregivers of cancer patients. We hypothesize that constructive listening behaviors of nurses will shape the extent of CB.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, hospitalized oncology patients gave their consent to approach their informal primary caregivers and requested their consent to participate by completing anonymous questionnaires. Study variables included the Zarit Burden Interview and the abbreviated Constructive and Destructive Listening questionnaires. Statistical analyses used Pearson correlations and multivariable linear regression.</div></div><div><h3>Results</h3><div>The sample comprised 80 primary caregivers of cancer patients. 65 % were women, 65 % were religious, and the average age was 51 years. Mean CB was 27.21 (SD-16.39). CB was positively associated with destructive listening (r = 0.400, p = 0.000) and negatively associated with constructive listening (r = -0.223, p = 0.000). Multivariable linear regression identified destructive listening as a significant antecedent (β = 0.265; t = 2.007; p = 0.049), explaining 14.7 % of the variance in CB (R² = 0.0192; MS = 568.147; df = 6; F = 2.7; p = &lt; 0.002).</div></div><div><h3>Conclusions</h3><div>Although episodic listening is a key component of nursing ethics and fundamental to relationships with patients, caregivers of cancer patients may be ignored. To reduce CB, nurses should eradicate destructive listening and promote constructive listening forging higher quality communication with patients. Insights may guide future research and paths to reduce CB</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"143 ","pages":"Article 109431"},"PeriodicalIF":3.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The moderating role of family functioning and self-compassion in the relation between intolerance of uncertainty and parental clinical decision-making style","authors":"Ofir Negri-Schwartz,&nbsp;Ilanit Hasson-Ohayon","doi":"10.1016/j.pec.2025.109420","DOIUrl":"10.1016/j.pec.2025.109420","url":null,"abstract":"<div><div>Parental shared decision-making in pediatric medical care can influence treatment adherence, parental well-being, and clinical outcomes. However, parents vary in their clinical decision-making style, which may be influenced by psychological and contextual factors. In this study we examined the association between intolerance of uncertainty and parental clinical decision-making style (PCDMS), with a focus on the moderating roles of family functioning and self-compassion. A moderated moderation model was tested among 219 parents actively involved in their child's healthcare. Findings revealed that intolerance of uncertainty was negatively associated with a shared-active decision-making style. However, this relationship was moderated by family functioning: When family functioning was high, greater intolerance of uncertainty was associated with a more shared-active role in decision-making, whereas when family functioning was low, greater intolerance of uncertainty was associated with a more passive role. Additionally, self-compassion further moderated this interaction, amplifying the role of family functioning. Specifically, when self-compassion was high, family functioning played a stronger role in mitigating the negative effects of uncertainty intolerance. These findings provide novel insights into the psychological mechanisms underlying PCDMS in pediatric healthcare. The study highlights the importance of interventions aimed at strengthening family functioning and self-compassion to support parents in navigating medical decision-making processes.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"143 ","pages":"Article 109420"},"PeriodicalIF":3.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“This is not any of your business so stop your bulls**t”: An abductive thematic analysis of antagonism towards others in a vaccination study","authors":"Bryce Van Vleet ,&nbsp;Heather R. Fuller ,&nbsp;Andrea Huseth-Zosel ,&nbsp;Amanda Giddens","doi":"10.1016/j.pec.2025.109417","DOIUrl":"10.1016/j.pec.2025.109417","url":null,"abstract":"<div><h3>Objectives</h3><div>Vaccine hesitancy hinders some older adults from receiving immunization against potentially life-threatening and serious diseases such as pneumonia, influenza, COVID-19, and shingles. However, vaccine hesitancy can escalate from mere reluctance to hostility and paranoia.</div></div><div><h3>Methods</h3><div>To examine such reluctance, data were drawn from the North Dakota Older Adults’ Vaccine Use Study which surveyed 901 community-dwelling older adults about their vaccination perceptions and behaviors. We identified a subset of 59 participants who expressed antagonism towards researchers, healthcare workers, and vaccination topics by their use of explicit language, criticism, and fear. The current study investigates the qualitative content of antagonism via open-ended survey responses and comments provided in survey margins. Data were coded using abductive thematic analysis, with hostile emotions as a framework.</div></div><div><h3>Results</h3><div>We found that antagonistic participants directed anger, resentment, and indignation towards four sources: <em>political agendas</em>, <em>duplicitous officials</em>, <em>inept researchers</em>, and <em>reckless anti-vaxxers</em>. Though antagonism was more frequently expressed by vaccine hesitant participants, antagonism was evident on both ends of the anti- and pro- vaccination spectrum.</div></div><div><h3>Conclusion</h3><div>Findings from this study offer unique perspectives of vaccination from a distrusting and hard-to-reach population and provide specific beliefs that interventionists can seek to combat. Additionally, these findings also highlight potential conflict between pro- and anti-vaccine patients. Overall, these findings highlight an understudied emotional component of vaccine refusal and hesitancy.</div></div><div><h3>Practice implications</h3><div>Practitioners should target emotions related to vaccine hesitancy in addition to combatting vaccine myths and misinformation.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"143 ","pages":"Article 109417"},"PeriodicalIF":3.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145521293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of perceived stress in the relationship between sexual communication, health literacy, and quality of life in women diagnosed with cervical cancer","authors":"Magdalena Liberacka-Dwojak ,&nbsp;Monika Wiłkość-Dębczyńska ,&nbsp;Roman Makarewicz","doi":"10.1016/j.pec.2025.109428","DOIUrl":"10.1016/j.pec.2025.109428","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the relationships between sexual communication self-efficacy, health literacy, perceived stress, and QoL in women with CC before the initiation of the proper treatment.</div></div><div><h3>Methods</h3><div>The study was conducted at the Oncology Center involving 60 women aged 40–65 with stage II-III CC undergoing radiotherapy or brachytherapy. Participants completed the 36-item Short Form Survey (SF-36) for QoL, the Female Sexual Function Index (FSFI), the Sexual Communication Self-Efficacy Scale (SCSES), the European Health Literacy Survey Questionnaire (HLS-EU-Q16), and the Perceived Stress Scale (PSS-10).</div></div><div><h3>Results</h3><div>Sexual communication self-efficacy was positively related to all QoL components (r = {0.458; 0.713}; p &lt; 0.001). Health literacy significantly impacted sexual functioning (F(2) = 6.003; p = 0.004), but not physical or psychological functioning. Perceived stress negatively influenced all QoL components (r = {-0.402; −0.662}; p &lt; 0.001) and mediated the relationships between sexual communication self-efficacy, health literacy, and QoL. SEM confirmed the model fit (CMIN/df = 1.558; TLI = 0.964; IFI = 0.978; CFI = 0.997; RMSEA = 0.097).</div></div><div><h3>Conclusions</h3><div>These findings emphasize the significance of holistic care approaches that integrate psychological, social, and biological factors to enhance the QoL for women undergoing cancer treatment.</div></div><div><h3>Practical implication</h3><div>Early psychological interventions that focus on stress reduction, communication skills, and improving health literacy could be integrated into prehabilitation programs for women with cervical cancer. Such interventions may strengthen patients’ coping resources, improve sexual health, and promote better quality of life throughout the treatment trajectory.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"143 ","pages":"Article 109428"},"PeriodicalIF":3.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information and uncertainty: Utilizing the pediatric oncology functional communication model to better understand early AYA survivorship and late effects communication.","authors":"Kendall Carpenter ,&nbsp;Catalina Berenblum Tobi ,&nbsp;Lydia Haupt Levy ,&nbsp;Anna C. Revette ,&nbsp;Lisa B. Kenney ,&nbsp;Lynda M. Vrooman ,&nbsp;Katie A. Greenzang","doi":"10.1016/j.pec.2025.109354","DOIUrl":"10.1016/j.pec.2025.109354","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the communication preferences of adolescents with cancer regarding the discussion of survivorship and late effects (LE) and to identify key communication functions and areas for improvement in LE communication.</div></div><div><h3>Methods</h3><div>This qualitative secondary analysis applied the adolescent oncology functional communication model to 17 semi-structured interviews conducted with adolescents (aged 12–22 years) to understand their LE communication preferences. Purposive sampling identified participants undergoing cancer treatment or who had completed pediatric cancer treatment within the past five years. Interviews occurred between April 2022 and April 2023; they were audio-recorded, transcribed, and individually coded. Thematic analysis identified themes that emerged within the communication functions.</div></div><div><h3>Results</h3><div>Participants identified \"exchanging information\" and \"managing uncertainty\" as critical functions in survivorship communication, but highlighted areas for improvement. Many adolescents appreciated receiving information early, however the volume of content was overwhelming, and some felt unprepared for survivorship despite information. Adolescents emphasized the importance of mental health support and peer validation, pointing to gaps in psychosocial resources and the desire for more shared experiences with fellow survivors. Modifiers to communication preferences which influenced how adolescents wanted to receive information about late effects included the phase of treatment (active treatment vs. survivorship), individual learning preferences, existing parent-child dynamics, and diagnosis/prognosis.</div></div><div><h3>Conclusions</h3><div>Utilizing communication functions as a framework allowed us to better understand adolescent preferences and identify areas for improvement within early communication about survivorship and LEs. Understanding the modifying factors that influence adolescent preferences will help tailor communication strategies to better meet their needs.</div></div><div><h3>Practice Implications</h3><div>This study applied a validated framework to survivorship and late effects communication with adolescents, a vulnerable patient population in pediatric oncology, highlighting important areas for improvement. The findings can be utilized to guide future adolescent- specific interventions aimed at improving adolescent engagement in survivorship care and risk-based screening.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"142 ","pages":"Article 109354"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of health literacy among Deaf American Sign Language users","authors":"Michael M. McKee ,&nbsp;Melissa Plegue ,&nbsp;Sara Champlin ,&nbsp;Joseph Hill ,&nbsp;Tiffany Panko ,&nbsp;Lorraine R. Buis ,&nbsp;Ananda Sen ,&nbsp;Michael K. Paasche-Orlow ,&nbsp;Peter C. Hauser","doi":"10.1016/j.pec.2025.109348","DOIUrl":"10.1016/j.pec.2025.109348","url":null,"abstract":"<div><h3>Objective</h3><div>Health literacy is an important predictor of individuals’ health, medical adherence, and health-related decision making. This study investigated the predictors of health literacy among Deaf American Sign Language (ASL) users.</div></div><div><h3>Methods</h3><div>408 Deaf ASL users and 445 Hearing English speakers were administered the Newest Vital Sign, a measure of health literacy available in both English and ASL, along with assessments of language proficiency and reading skills.</div></div><div><h3>Results</h3><div>Deaf participants had 3.7 times greater odds of inadequate health literacy (95 % CI: 2.7, 4.9) compared to their hearing counterparts. Binary logistic regression revealed that Deaf participants’ ASL proficiency and English reading grade equivalent explained 34.2 % (Nagelkerke <em>R</em>^<em>2</em>) of the variance in health literacy, χ²(2) = 101.520, <em>p</em> &lt; .001. Among hearing participants, by contrast, English proficiency and English reading grade equivalent explained 47.8 % of the variance in health literacy, χ²(2) = 171.071, <em>p</em> &lt; .001.</div></div><div><h3>Conclusions</h3><div>Deaf people are at risk for having greater difficulty to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.</div></div><div><h3>Practice implications</h3><div>Health professionals and health systems should allocate resources to mitigate health literacy barriers among Deaf people and make health information more available in ASL.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"142 ","pages":"Article 109348"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of presentation formats for direct-to-consumer genetic testing results: A web-based experimental study in South Korea","authors":"Soyun Kim ,&nbsp;Young Kyung Do","doi":"10.1016/j.pec.2025.109408","DOIUrl":"10.1016/j.pec.2025.109408","url":null,"abstract":"<div><h3>Objectives</h3><div>Direct-to-consumer genetic testing (DTC-GT) provides individuals with genetic risk information in various formats without the involvement of healthcare professionals. However, few studies have examined how these formats may lead to misinterpretation. This study aims to examine whether the presentation format of DTC-GT results influence consumers’ risk perception and behavioral intentions.</div></div><div><h3>Methods</h3><div>A total of 720 South Korean adults participated in an online-based experiment. Participants were randomly assigned to one of four formats: a score with a line graph (score), relative risk with a line graph (RR), absolute risk difference with a line graph (line ARD), or with icon arrays (icon ARD). They were shown risk results for four diseases (blood glucose, blood pressure, insomnia, and lung cancer) in a random order, with the risk level manipulated to be either high or low. Participants rated their perceived risk of developing these diseases, behavioral intentions, and intention to consult a physician.</div></div><div><h3>Results</h3><div>In the high-risk condition, participants shown the score group reported the highest perceived risk, while those in the icon ARD group reported the lowest. In the low-risk condition, this pattern reversed. A similar pattern appeared for behavioral intentions in the high-risk condition, but no format effects in the low-risk condition. Over half of the participants reported they would like to consult a physician.</div></div><div><h3>Conclusions</h3><div>Different presentation formats influenced participants’ perceived risk of developing diseases and their intentions to engage in behavioral changes despite their equivalent risk information.</div></div><div><h3>Practical implications</h3><div>Governments and regulatory bodies should develop standardized guidelines for DTC-GT manufacturers on the design and presentation of information formats. Health professionals should also be prepared to discuss DTC-GT results with their patients and the general public, who need to be equipped with basic statistical literacy through appropriate education and training.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"142 ","pages":"Article 109408"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring patient involvement and influencing factors in digital interdisciplinary consultation","authors":"Ken MM Peeters ,&nbsp;Carmen Y. Hidding ,&nbsp;Petra Buist ,&nbsp;Sanne M. Sanavro ,&nbsp;Dennis van der Lugt ,&nbsp;Joke Stoffelen ,&nbsp;Marco H. Blanker ,&nbsp;Henk van der Worp ,&nbsp;Henk J. Schers ,&nbsp;Esther Giroldi ,&nbsp;Jochen WL Cals ,&nbsp;Jesse Jansen","doi":"10.1016/j.pec.2025.109360","DOIUrl":"10.1016/j.pec.2025.109360","url":null,"abstract":"<div><h3>Objectives</h3><div>We explored patient attitudes and experiences around their involvement throughout the digital interdisciplinary consultation (DICO) process and identified its influencing factors. DICO is defined as asynchronous, targeted communication between GPs and hospital specialists via a secure electronic application where patient-specific information is shared, and clarification or guidance is sought concerning a clinical question.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study in the Netherlands. A conceptual framework was iteratively developed to identify phases of DICO where patient involvement is possible, drawing on literature research and expert meetings. Data from three interrelated studies performing semi-structured interviews regarding patients' experiences with various types of DICO were triangulated. The conceptual framework was expanded with factors influencing the degree of patient involvement at each phase, based on the findings from the patient interviews.</div></div><div><h3>Results</h3><div>We analyzed 27 patient interviews. Patients viewed DICO as an initial step in care, with limited active involvement required. From the perspective of the patient, the decision to initiate DICO is typically made by the GP, often without patient input. GPs initiate DICO for various reasons and patient involvement varies depending on the reason. Key factors influencing involvement as perceived by patients include the GP-patient relationship, particularly trust, the nature of the medical problem (e.g., urgency and severity), and patients’ needs and preferences. Patients appreciated post-DICO discussions, particularly in cases of uncertainty, and considered shared decision making important when DICO leads to health decisions.</div></div><div><h3>Conclusions</h3><div>The study highlights how the level of patient involvement in DICO varies depending on the reason for initiating DICO, the nature of the medical problem, patients’ needs and preferences, and the GP-patient relationship.</div></div><div><h3>Practice implications</h3><div>Findings from this study show patient involvement in DICO is context-dependent; GPs should tailor involvement across multiple DICO phases, especially when providing feedback on the outcome of DICO<strong>.</strong> Findings can contribute to future guidelines for effective, patient-centered DICO implementation.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"142 ","pages":"Article 109360"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “‘About the patient, not for the patient’: A qualitative study on medical reports in hepatology” [Patient Educ Couns 142 (2026) 109363]","authors":"Michela Monaci ,&nbsp;Mateus Eduardo Romão ,&nbsp;Sarah Bigi ,&nbsp;Beatrice Credi ,&nbsp;Marko Korenjak ,&nbsp;Serena Barello","doi":"10.1016/j.pec.2025.109384","DOIUrl":"10.1016/j.pec.2025.109384","url":null,"abstract":"","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"142 ","pages":"Article 109384"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145269504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and treatment knowledge among breast cancer survivors in Mexico: A cross-sectional study","authors":"Citlali Frayde-Aguilar ,&nbsp;Maria Andrea Mac Donald-Jaramillo ,&nbsp;Raúl Emiliano Esparza-Orozco,&nbsp;Haydee Cristina Verduzco-Aguirre,&nbsp;Eucario Leon-Rodriguez,&nbsp;Bertha Alejandra Martinez-Cannon","doi":"10.1016/j.pec.2025.109406","DOIUrl":"10.1016/j.pec.2025.109406","url":null,"abstract":"<div><h3>Background</h3><div>The growing population of breast cancer (BC) survivors underscores the need for improved knowledge and engagement in long-term follow-up care. The main aim of this study was to evaluate BC survivors’ knowledge regarding their diagnosis and treatment, satisfaction with the information provided, and perception of oncologists’ communication skills.</div></div><div><h3>Methods</h3><div>A 36-question survey was administered to 181 BC survivors (women diagnosed with stage I-III BC) to assess their knowledge about diagnosis and treatment. Knowledge was estimated by comparing survivors’ responses with medical records. Chi-square and Fisher tests were used to evaluate associations.</div></div><div><h3>Results</h3><div>Knowledge was lower for essential diagnostic characteristics (10.5 %, receptor status and clinical stage) than for essential treatment characteristics (82.3 %, receipt of surgery, radiotherapy, chemotherapy, endocrine therapy, and/or HER2-targeted therapy). Survivors with at least high-school education and those diagnosed &lt; 5 years prior were more likely to correctly identify essential diagnostic characteristics (p = 0.007 and p = 0.048, respectively); no significant association was observed with age. No associations were observed between essential treatment characteristics and age (p = 0.79), education level (p = 0.26), and time since diagnosis (p = 0.86). Most BC survivors agreed their oncologists adequately transmitted their diagnosis and treatment information (95 %).</div></div><div><h3>Conclusions</h3><div>BC survivors in our study were more knowledgeable about treatment than diagnosis. Participants reported high satisfaction with their medical oncologists’ communication skills and the information provided. Our study highlights knowledge gaps, factors affecting recall of medical details, and the critical role of oncologists’ communication.</div></div>","PeriodicalId":49714,"journal":{"name":"Patient Education and Counseling","volume":"142 ","pages":"Article 109406"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}